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psnet.ahrq.gov/issue/patient-safety-plastic-surgery
September 09, 2020 - Commentary
Patient safety in plastic surgery.
Citation Text:
Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349.
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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Book/Report
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar.
Citation Text:
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
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psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
September 26, 2016 - Study
Improving the usability of intravenous medication labels to support safe medication delivery.
Citation Text:
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41…
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psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
July 06, 2022 - Review
Medical errors, malpractice, and defensive medicine: an ill-fated triad.
Citation Text:
Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007.
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psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
October 23, 2018 - Commentary
To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest?
Citation Text:
Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…
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psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
June 23, 2009 - Commentary
Building social capital in healthcare organizations: thinking ecologically for safer care.
Citation Text:
Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…
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psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals
July 24, 2024 - Newspaper/Magazine Article
4 actions to reduce medical errors in U.S. hospitals.
Citation Text:
4 actions to reduce medical errors in U.S. hospitals. Toussaint JS, Segel KT. Harvard Business Review. April 20, 2022.
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - Newspaper/Magazine Article
The public has been forgiving. But hospitals got some things wrong.
Citation Text:
Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21.
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psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
March 14, 2022 - Study
Reduction in pediatric identification band errors: a quality collaborative.
Citation Text:
Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon?
Citation Text:
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
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psnet.ahrq.gov/issue/patient-safety-systems-case-management
December 22, 2008 - Review
Patient safety systems for case management.
Citation Text:
Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004.
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psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
December 19, 2017 - Commentary
Injury to research volunteers—the clinical-research nightmare.
Citation Text:
Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med. 2006;354(18):1869-71.
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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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psnet.ahrq.gov/issue/impact-transparency-patient-safety-and-liability
March 02, 2011 - Commentary
The impact of transparency on patient safety and liability.
Citation Text:
Griffen D. The impact of transparency on patient safety and liability. Bull Am Coll Surg. 2008;93(3):19-23.
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psnet.ahrq.gov/issue/organizational-silence-and-hidden-threats-patient-safety
September 27, 2010 - Commentary
Organizational silence and hidden threats to patient safety.
Citation Text:
Henriksen K, Dayton E. Organizational Silence and Hidden Threats to Patient Safety. Health Serv Res. 2006;41(4p2). doi:10.1111/j.1475-6773.2006.00564.x.
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psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
April 21, 2021 - Study
Effects of sleep inertia on cognition.
Citation Text:
Wertz AT, Ronda JM, Czeisler CA, et al. Effects of sleep inertia on cognition. JAMA. 2006;295(2):163-4.
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psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
August 09, 2023 - Review
Health care governance for quality and safety: the new agenda.
Citation Text:
Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13.
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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - Newspaper/Magazine Article
Report focuses on risk to patients from ED errors.
Citation Text:
Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019.
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psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
June 09, 2021 - Commentary
Normalization of deviance is contrary to the principles of high reliability.
Citation Text:
Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894.
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psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
September 04, 2013 - Commentary
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Citation Text:
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…